MAHADEVAN G KRISHNAN MD PC NPI 1407929185

NPI Information

  • NPI: 1407929185
  • Provider Name: MAHADEVAN G KRISHNAN, MD PC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 609 RIVER AVE
    LAKEWOOD, NJ
    ZIP 08701
  • Phone: (732) 901-8822

Map and Directions

Get Directions

NPI Details

MAHADEVAN G KRISHNAN, MD PC is a vascular surgery surgery in Lakewood, NJ. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MAHADEVAN G KRISHNAN, MD PC NPI is 1407929185. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

609 RIVER AVE
LAKEWOOD, NJ
ZIP 08701-227
Phone: (732) 901-8822
Fax: (732) 367-2897

The provider's authorized official is Mahadevan G Krishnan .
The authorized official title is President and has the following contact phone number (732) 901-8822.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 11/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular Surgery25MA045854NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1080616MEDICARE PINNEW JERSEY
2C60258MEDICARE UPINNEW JERSEY
3542526MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
4DB3539OTHERNEW JERSEYRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI